Cerebellar transcranial direct current stimulation for learning a novel split-belt treadmill task: a randomised controlled trial

Sci Rep. 2020 Jul 16;10(1):11853. doi: 10.1038/s41598-020-68825-2.

Abstract

This study aimed to examine the effect of repeated anodal cerebellar transcranial direct current stimulation (ctDCS) on learning a split-belt treadmill task. Thirty healthy individuals randomly received three consecutive sessions of active or sham anodal ctDCS during split-belt treadmill training. Motor performance and strides to steady-state performance were evaluated before (baseline), during (adaptation), and after (de-adaptation) the intervention. The outcomes were measured one week later to assess absolute learning and during the intervention to evaluate cumulative, consecutive, and session-specific effects. Data were analysed using linear mixed-effects regression models. During adaptation, there was no significant difference in absolute learning between the groups (p > 0.05). During de-adaptation, a significant difference in absolute learning between the groups (p = 0.03) indicated slower de-adaptation with anodal ctDCS. Pre-planned secondary analysis revealed that anodal ctDCS significantly reduced the cumulative (p = 0.01) and consecutive-session effect (p = 0.01) on immediate adaptation. There were significant cumulative (p = 0.02) and session-specific effects (p = 0.003) on immediate de-adaptation. Repeated anodal ctDCS does not enhance motor learning measured during adaptation to a split-belt treadmill task. However, it influences the maintenance of learnt walking patterns, suggesting that it may be beneficial in maintaining therapeutic effects.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adaptation, Physiological / physiology*
  • Adolescent
  • Adult
  • Cerebellum / physiology*
  • Double-Blind Method
  • Exercise Test / psychology
  • Humans
  • Learning / physiology*
  • Male
  • Psychomotor Performance / physiology*
  • Transcranial Direct Current Stimulation / methods*
  • Walking / physiology*